Supporting Pregnant and Parenting People Experiencing SUDs | June 28, 2022
Date of Presentation: June 28, 2022
Type: Past Presentation
Audience: Clinical Community
Program: Grand Rounds Substance Use Disorder
Keywords: #grand rounds #parents #pregnancy #pregnant #substance use disorder #SUD #SUD treatment
Indian Country ECHO in partnership with the IHS HOPE Committee hosted a Grand Rounds focused on supporting American Indian and Alaska Native pregnant and parenting people experiencing SUDs. In this series of presentations, Dr Mishka Terplan highlights best practices for screening, diagnosing, and initiating treatment for pregnant and parenting people experiencing substance use disorders. Then, LCDR Teresa Grund and Nicole Larsen from the Red Lake Indian Health Service Hospital clinic share the story of how their facility chooses to recognize, respond to, and support pregnant and parenting people experiencing SUDs. The one-hour Grand Rounds session included an opportunity to engage in a didactic presentation, become part of a learning community, and join a Substance Use Disorder ECHO program.
pregnancy
Recording:
Presented by:
Mishka Terplan, M.D., M.P.H., FACOG, DFASAM | LCDR Teresa Grund, RPh, BCPS, BCPP | Nicole Larsen, BSN, RN
Dr. Mishka Terplan is board certified in both obstetrics and gynecology and in addiction medicine. His primary clinical, research and advocacy interests lie along the intersections of reproductive and behavioral health. Dr. Terplan is nationally recognized as an expert in the care of pregnant and parenting people with substance use disorder. He has been central to guidance document development at the American Congress of Obstetrician Gynecologists (ACOG), the American Society of Addiction Medicine (ASAM) and the Substance Abuse and Mental Health Services Administration (SAMHSA) and has participated in expert panels at Center for Disease Control, Office of the National Drug Control Policy, Office of Women’s Health, US Food and Drug Administration and the National Institutes of Health primarily on issues related to gender and addiction. Dr. Terplan has active grant funding and has published over 100 peer-reviewed articles with emphasis on addiction medicine, drug use in pregnancy, health disparities, stigma, and access to treatment.
Dr. Terplan is the Associate Medical Director at Friends Research Institute, the Addiction Medicine Consultant for Virginia Medicaid and adjunct faculty at the University of California, San Francisco where he is a Substance Use Warmline clinician for its Clinical Consultation Center.
LCDR Teresa Grund, RPh, NCPS, BCPS, BCPP, is a behavioral health clinical pharmacist at the Red Lake IHS Hospital in Red Lake, MN. LCDR Grund is a fully credentialed and privileged pharmacist in primary care, palliative care, medication assisted treatment, and behavioral health. Prior to coming to Red Lake, Teresa was a community pharmacist and hospice consultant. Her areas of recent focus include behavioral health medication management, suicide prevention, medication assisted treatment, and complex trauma care. She is a 2017 American Society of Health-Systems Pharmacists Advanced Pain and Palliative Care Trainee with certifications in Aboriginal Focus-Oriented Therapy and Complex Trauma Care. She is also a board-certified psychiatric pharmacist. On a personal note, Teresa is a true Disney Fan, certified diver, and enjoys traveling with her family.
Nicole Larsen, BSN, RN is a nurse and Recovery Care Coordinator at the Red Lake IHS Hospital in Red Lake, MN.
Resources Provided:
- To Claim CE
- Plans of Safe Care Toolkit (NPAIHB)
- Maternal and Child Health and Wellness (IHS)
- Recommendations to the Indian Health Service on American Indian/Alaska Native Pregnant Women and Women of Childbearing Age with Opioid Use Disorder (ACOG)
- Pain & Opioid Use Disorder Webinar Series - Initiating Buprenorphine for Pregnant Women with Opioid Use Disorder (IHS)
- Vital Signs: Changes in Opioid Prescribing in the United States, 2006–2015 (MMWR)
- The Changing Face of Heroin Use in the United States: A Retrospective Analysis of the Past 50 Years (JAMA)
- Drug Overdose Deaths Among Women Aged 30–64 Years — United States, 1999–2017 (MMWR)
- Physician versus non-physician delivery of alcohol screening, brief intervention Open Access and referral to treatment in adult primary care: the ADVISe cluster randomized controlled implementation trial (Addiction Science & Clinical Practice)
- Gender differences in discharge dispositions of emergency department visits involving drug misuse and abuse—2004-2011 (Substance Abuse Treatment, Prevention and Policy)
- Use of Naloxone by Emergency Medical Services During Opioid Drug Overdose Resuscitation Efforts (Prehosp Emerg Care)
- Opioid Use Disorder Documented at Delivery Hospitalization — United States, 1999–2014 (MMWR)
- How States Handle Drug Use During Pregnancy (ProPublica)
- Punishing pregnant drug-using women: defying law, medicine, and common sense (J Addict Dis)
- The Prevalence and Impact of Substance Use Disorder and Treatment on Maternal Obstetric Experiences and Birth Outcomes Among Singleton Deliveries in Massachusetts (Matern Child Health)
- Unmet substance use disorder treatment need among reproductive age women (Drug and Alcohol Dependence)
- Women-Centered Drug Treatment Services and Need in the United States, 2002–2009 (Am J Public Health)
- Trends and disparities in receipt of pharmacotherapy among pregnant women in publically funded treatment programs for opioid use disorder in the United States (Journ of Substance Abuse Treatment)
- Prevalence and Geographic Distribution of Obstetrician-Gynecologists Who Treat Medicaid Enrollees and Are Trained to Prescribe Buprenorphine (JAMA)
- National Clinician Consultation Center (UCSF)
- Pregnancy and Substance Use Disorders (Presentation Slides)
- Building Bridges: A Journey to Recovery in Pregnancy (Presentation Slides)
- Welcome Slides and Disclosures
Date added: April 25, 2022
